Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.85 / $659.74 / $1,136.10	Professional		$645.85	$659.74	$1,136.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.54 / $791.76 / $1,139.49	Professional		$654.54	$791.76	$1,139.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.74 / $3,250.74 / $3,250.74	Facility		$3,250.74	$3,250.74	$3,250.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.13 / $719.15 / $1,041.69	Professional		$552.13	$719.15	$1,041.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $591.19 / $1,039.26 / $3,410.58	Professional		$591.19	$1,039.26	$3,410.58
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,273.71 / $7,077.65 / $7,077.65	Facility		$2,273.71	$7,077.65	$7,077.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $622.30 / $702.25 / $3,410.58	Professional		$622.30	$702.25	$3,410.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $11,845.00	Facility		$2,818.00	$5,468.00	$11,845.00
United Facility/Professional Professional Modifier Low / Median / High Price $706.80 / $894.14 / $1,302.93	Professional		$706.80	$894.14	$1,302.93